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ED DETELS, OT
OT
Occupational Therapist
NPI: 1427033604IndividualAccepts Medicare
Specialties, Licenses & Credentials
Occupational TherapistPrimary
Occupational Therapist
Code: 225X00000X
OT1096(CA)
CMS Specialties
PrimaryOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 1996
Contact & Hours
- Address
- 200 NEWPORT CENTER DR, 213
NEWPORT BEACH, CA 92660 - Phone
- (949) 644-1322
Quick Facts
- NPI
- 1427033604
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 30
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